Hayley Sharma, M.D.

A 🇮🇳🇩🇪doc from MN who 🗣️🇺🇸🇪🇸🇧🇷 👩🏻‍⚕️Med-Peds ID fellow 📚Medical English (IG@medicalenglishforyou)

[Joel M. Topf, MD FACP @kidney_boy]

Honey, stop what you're doing, new hyponatremia research just dropped!

What's it say?

It looks like slow correction is associated with worse outcomes, like death and length of stay!

Was it just a small study?

No, it was a meta-analysis of almost 12,000 patients!

https://t.co/FkVXCEWhxi

[Hayley Sharma, M.D. @multilingualmd]

The best part of my day today was getting to tell all of my Haitian primary care patients how happy I am that they are here and that I love seeing them and taking care of them ❤️ They do not deserve to be political scapegoats.

[Prof Peter Hotez MD PhD DSc(hon) @PeterHotez]

1/n Well no, the main problem with hydroxychloroquine was that it did nothing for COVID19. It was promoted purely for political reasons. Some papers attached

[Hayley Sharma, M.D. @multilingualmd]

Exactly! 👏🏼 I made this change in my vocab after having several patients not want to switch to PO antibiotics because they preferred the “stronger” antibiotics i.e. IV antibiotics.

[Neil Stone @DrNeilStone]

"Strong" Targeted
antibiotics antibiotics

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

Clarity in notes 101::

“History of" = No longer present (in coding language). Ex: “history of diabetes.” Is their diabetes really no longer present?

“With” = Still active. “Patient with diabetes” is better.

[Hayley Sharma, M.D. @multilingualmd]

@nmpra @A_Garrr PREACH!!! #bestspecialtyever

[National Med-Peds Residents’ Association @nmpra]

We need more Med-Peds programs! #MedPeds #MP4L

[Clement Lee, MD, MSc @ClementLeeMD]

when the pharmacist asks me about the vancomycin dose

[National Med-Peds Residents’ Association @nmpra]

Come join us for a chance to unwind and kick it with your colleagues across the country! Open to all residents and fellows!
Zoom link: https://t.co/PiOE3je2Zy
Meeting ID 836 5769 9542
Passcode 677489

[Christian Weaver, MD @Weavofloxacin]

🧫Literally screaming this from the rooftop of the hospital. Delirium and pyuria or bacteriuria is NOT A UTI #IDTwitter #MedTwitter

[Hayley Sharma, M.D. @multilingualmd]

This this this this THIS!!! Especially for peds. Take otitis media, for example. You have to actually *look* at the TMs in order to diagnose it. I can’t tell you how many times I’ve seen Abx sent for “otitis media” without any exam documented. Ear tugging ≠ ear infection.

[Michael Calderwood, MD, MPH @CalderwoodMD]

Among providers seeing patients both in person and via telehealth, odds of prescribing an antibiotic was 1.7x higher following a telehealth visit. Physical exam and face-to-face counseling matter. https://t.co/Kl2W7ODhuU

[SIDP @SIDPharm]

📊 Does your abx stewardship program measure inappropriate diagnosis? Two measures were developed from literature & adapted based on 49 MI hospitals "to quantify the [%] of patients treated for UTI or CAP who did not meet clinical criteria". For more info: https://t.co/whQuEq4Mju

[Hayley Sharma, M.D. @multilingualmd]

Yep! Even the 2024 GOLD criteria agrees!

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

"We suggest withholding antibiotics in patients presenting to the ED with non-severe acute exacerbation of COPD and low suspicion of bacterial pneumonia" #idxposts

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕️🔥Nationwide, non-inferiority RCT in Denmark
In children and adolescents with uncomplicated bone and joint infections,initial oral antibiotic treatment was non-inferior to initial IV antibiotics followed by oral therapy @BradSpellberg #OMWiki #idxposts
https://t.co/lGA4SmRj0E

[Pamela Contreras Chavez @PamChMD]

I made it folks!
Providing very needed bilingual hematology care in the city!

Classical heme 🌹❤️💯

Trujillo, Peru para el mundo 🌍 🔥

Thanks @connors_md & A. Langer for your incredible support & encouragement for #WomeninHeme ☑️🔥

[Emily Fridenmaker @emily_fri]

Patients who were admitted for a week with sepsis requiring abscess drainage, a fib, and a kidney injury don’t need 12 pages of “heart healthy eating tips” in their discharge paperwork.

They need to be able to see their instructions, meds, and appointments simply and clearly.

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕️🔥Cohort study
Time to Positive Blood Cultures Among Critically Ill Children Admitted to PICU
95% of clinically significant blood cx result within 36h, indicating that the standard 48h duration of empiric Abx may not be necessary #idxposts
https://t.co/6Lgw4Z7vBN

[Rabih Geha @rabihmgeha]

An outstanding member of the CPSolvers Academy who is a visiting IMG just had her rotation canceled last minute.

Anyone know of any good leads for an alternate visiting IMG rotation?

[Hayley Sharma, M.D. @multilingualmd]

Been seeing a lot of blatant misinformation about pediatricians on X so I really appreciated this ❤️